1. Health Policy Institute Mind the Gap: An Analysis of Dental Care Utilization in All States Thank you for joining! You will be on hold until the call begins at 12 p.m. Central time. Today’s webinar will be recorded. Please remember to mute your phone unless you are speaking. Streaming audio is available through your computer, or you can listen to the audio by dialing 888.203.5515. When prompted, enter conference ID 47499697.

2. © 2014 American Dental Association. All Rights Reserved. 2 Today State-by-state analysis of trends in dental care utilization Adults and Children Medicaid and privately insured

3. © 2014 American Dental Association. All Rights Reserved. 3 The ADA Health Policy Institute

4. © 2014 American Dental Association. All Rights Reserved. 4 The ADA Health Policy Institute

5. © 2014 American Dental Association. All Rights Reserved. 5 Today Key Findings Marko Vujicic, Chief Economist & Vice President, Health Policy Institute, American Dental Association Commentary Julia Paradise, Associate Director, Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation Anthony T. LoSasso, Professor, Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago Andy Snyder, Program Manager, National Academy for State Health Policy Q&A Please send your questions during the webinar via the chat box.

6. © 2014 American Dental Association. All Rights Reserved. 6 Key Messages In all but one state, dental care utilization among Medicaid- enrolled children increased between 2005 and 2013. The gap in dental care utilization between Medicaid-enrolled children and children with private dental benefits narrowed significantly. Most states experienced a drop in dental care utilization among adults with private dental benefits between 2005 and 2013. While dental care utilization for Medicaid children continues to “catch up” to children with private dental benefits, a very large gap remains among adults. Policymakers ought to focus on reforms to Medicaid if access to dental care issues for adults are to be addressed.

7. © 2014 American Dental Association. All Rights Reserved. 7 Data and Methods Utilization Measure –Percent with any dental service in the year –At least 90 day continuous enrollment –2005 and 2013 Medicaid Children –CMS-416 form –Line 12a divided by Line 1b Medicaid Adults –Medicaid Statistical Information System –Data collected and analyzed by CMS at HPI’s request Adults and Children with Private Dental Benefits –Truven Health Analytics MarketScan® –HPI estimates roughly 8% of U.S. population covered by these data

8. © 2014 American Dental Association. All Rights Reserved. 8 Results

9. © 2014 American Dental Association. All Rights Reserved. 9 Results

10. © 2014 American Dental Association. All Rights Reserved. 10 Results

11. © 2014 American Dental Association. All Rights Reserved. 11 Results

12. © 2014 American Dental Association. All Rights Reserved. 12 Results

13. © 2014 American Dental Association. All Rights Reserved. 13 Results

14. © 2014 American Dental Association. All Rights Reserved. 14 Key Messages In all but one state, dental care utilization among Medicaid- enrolled children increased between 2005 and 2013. The gap in dental care utilization between Medicaid-enrolled children and children with private dental benefits narrowed significantly. Most states experienced a drop in dental care utilization among adults with private dental benefits between 2005 and 2013. While dental care utilization for Medicaid children continues to “catch up” to children with private dental benefits, a very large gap remains among adults. Policymakers ought to focus on reforms to Medicaid if access to dental care issues for adults are to be addressed.

15. Julia Paradise Associate Director, Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation

16. Anthony T. LoSasso Professor, Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago

17. Andy Snyder Program Manager, National Academy for State Health Policy

18. © 2014 American Dental Association. All Rights Reserved. 18 Thank You! For more information on the Health Policy Institute please visit: ada.org/hpi To inquire about speaking engagements or custom data analytics please contact: hpi@ada.org